EDWARD P VIDAL (NPI# 1831683325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831683325 |
| Entity Type | Individual |
| Full Name | EDWARD P VIDAL |
| Practice Address |
3195 M St Merced CA 95348-2406 |
| Mailing Address |
2855 Geer Rd Turlock CA 95382-1133 |
| Practice Telephone | 2097236030 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386123305 | Edward Vidal | Nurse Practitioner | 2331 W Carson Rd, Phoenix, AZ 85041-6408 | 2018-08-09 |
| Street Address |
3195 M ST |
| City | MERCED |
| State | CA |
| Zip Code | 95348-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336294552 | Veronica Ramirez | Marriage & Family Therapist | 3195 M St, Suite D, Merced, CA 95348-2406 | 2007-01-25 |
| 1215571989 | Elliot Gilliam | Counselor | 3195 M St, Merced, CA 95348-2406 | 2019-11-05 |
| 1669034229 | Hilda Yeli Ramirez | Counselor | 3195 M St, Merced, CA 95348-2406 | 2019-07-03 |
| 1174189138 | Mark David Knutson | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2019-05-15 |
| 1972071231 | Christopher Joseph Soares | Counselor | 3195 M St, Merced, CA 95348 | 2018-11-05 |
| 1588166300 | Christina Michelle Keys Gonzalez | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2018-03-07 |
| 1225537558 | Nadine Jaye Catano | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2018-02-01 |
| 1629576038 | Karina Alejandra Moreno | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2018-01-31 |
| 1447758859 | Veroniki Elena Bohrer-padavos | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2018-01-31 |
| 1467979021 | Vanessa Salazar | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2017-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031649 | Sydney Towle | Counselor | 3360 N Hwy 59 Suite K, Merced, CA 95348 | 2020-04-13 |
| 1972147544 | Aaliyah Belt | Behavior Technician | 2808 Park Ave, Suite A, Merced, CA 95348 | 2019-11-06 |
| 1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
| 1760952246 | Noemi Diaz | Counselor | 3360 North Hwy.59 Suite K, Merced, CA 95348 | 2018-11-28 |
| 1518451632 | Kenneth Tiea Pay | Pharmacist | 767 Ironstone Dr, Merced, CA 95348 | 2018-06-21 |
| 1295223444 | Andraya Diane Plascencia | Behavior Technician | 335 M St, Merced, CA 95348 | 2018-04-24 |
| 1801398839 | Elisabet Pulido | Case Manager/Care Coordinator | 3360 N State Hwy 59, K, Merced, CA 95348 | 2018-03-06 |
| 1184126674 | Carolina Rosales | Behavior Technician | 3335 M St., Merced, CA 95348 | 2018-03-01 |
| 1659897957 | Melody Vega | Social Worker | 3195 M Street, Merced, CA 95348 | 2017-08-17 |
| 1942739305 | Salvador Tinoco Jaramillo | Marriage & Family Therapist | 3360 N Highway 59 Suite K, Merced, CA 95348 | 2017-06-08 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750025 | Harvey Soza | Case Manager/Care Coordinator | 2764 Madrid Ave, Merced, CA 95348-1337 | 2020-08-14 |
| 1457995581 | Arleen Lopez | Case Manager/Care Coordinator | 1209 Devonwood Dr Apt 101, Merced, CA 95348-1710 | 2019-11-01 |
| 1669036281 | Cheng Thao | Case Manager/Care Coordinator | 301 E 13th St Ste E, Merced, CA 95341-6211 | 2019-04-29 |
| 1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
| 1942779558 | Naly Thao | Case Manager/Care Coordinator | 3360 N Highway 59 Ste 9, Merced, CA 95348-9404 | 2018-11-13 |
| 1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
| 1801398839 | Elisabet Pulido | Case Manager/Care Coordinator | 3360 N State Hwy 59, K, Merced, CA 95348 | 2018-03-06 |
| 1780105346 | Cristian Gerardo Rendon | Case Manager/Care Coordinator | 89 E Sonoma St, Merced, CA 95341-7003 | 2017-07-04 |
| 1881134997 | Carolina Romero | Case Manager/Care Coordinator | 3360 N Hwy Suite K, Merced, CA 95348 | 2017-03-08 |
| 1114465390 | Emily Valentine | Case Manager/Care Coordinator | 3360 N State Highway 59, Suite K, Merced, CA 95348-9404 | 2017-02-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.